General Permits (5921)

G ERTIRG- -TtO -O.F EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7fN": 03'.
Applicant Name -1/L 1� ae. , PhoneNumber 4396
Address
City State A)C Zip ?7,ea?`
Project Location (County, State Road, Water Body, etc.) _�• �r.. `Q .
Type and Dimensions of Project
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursear+t to 15-N'C 7K .0203 This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This ce�I �ieation-of exemption from requiring a CAMA permit is
valid for—Q04eys from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the ����
development. CAMA Official's gnature
The applicant certifies by signing this exemption that (1) the ap-
plicant has read and will abide by the conditions of this exemp-
tion, and (2) a wr-itter+stetefnerrt has�btreen"obtaiT%d'frtm-adjacent—
laiD.OgWawsacertifsing =mat qhey- have.-.rao—objections.-to- .the-
,propesedwork.
IW"R
Issuing date
`/-3/ L�7
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203